CAJ | 학술논문

目的根据肾结石成分的红外光谱分析结果,探讨肾结石成分与患者的性别、年龄等因素的关系. 方法选取2002年5月至2011年5月408例肾结石患者,男271例(66.4％),女137例(33.6％),男∶女为2∶1.左肾结石164例(40.2％),右肾结石150例(36.8％),双肾结石19例(4.7％),位置不详75例(18.4％).结石标本来源分别为PCNL、开放手术取石和ESWL后自行排出.采用傅立叶红外光谱压片法分析结石成分. 结果本组408例中含钙结石为359例(88.0％),其中单纯草酸钙结石197例(48.3％),磷酸盐结石180例(44.1％),混合成分结石211例(51.7％).主要检出成分为草酸钙48.3％,碳磷灰石34.8％,尿酸盐5.4％,磷酸镁铵4.4％,磷酸铵碳酸钙共晶3.4％,透钙磷石1.5％,胱氨酸2.0％,蛋白质0.3％.男性患者发病高峰年龄为30～59岁,女性为50～59岁. 结论肾结石成分以草酸钙和磷酸盐结石为主.男性30～59岁、女性50～59岁是肾结石发病高峰年龄.
목적 근거신결석성분적홍외광보분석결과,탐토신결석성분여환자적성별、년령등인소적관계. 방법 선취2002년5월지2011년5월408례신결석환자,남271례(66.4％),녀137례(33.6％),남∶녀위2∶1.좌신결석164례(40.2％),우신결석150례(36.8％),쌍신결석19례(4.7％),위치불상75례(18.4％).결석표본래원분별위PCNL、개방수술취석화ESWL후자행배출.채용부립협홍외광보압편법분석결석성분. 결과 본조408례중함개결석위359례(88.0％),기중단순초산개결석197례(48.3％),린산염결석180례(44.1％),혼합성분결석211례(51.7％).주요검출성분위초산개48.3％,탄린회석34.8％,뇨산염5.4％,린산미안4.4％,린산안탄산개공정3.4％,투개린석1.5％,광안산2.0％,단백질0.3％.남성환자발병고봉년령위30～59세,녀성위50～59세. 결론 신결석성분이초산개화린산염결석위주.남성30～59세、녀성50～59세시신결석발병고봉년령.
Objective According to the infrared spectrum of renal stone composition analysis,discuss the relationship between gender,age and kidney stone.Methods Kidney stone composition analysis of 408 cases had been done in our hospital from the 2002 to 2011 by using Fourier transform infrared spectroscopy.There were 271 males (66.4％) and 137 females (33.6％).Results There were 359 cases with calcium stones,accounting for 88.0％ (359/408); 197 cases with calcium oxalate stones alone,accounting for 48.3％; 180 cases with phosphate stones,accounting for 44.1％; 211 cases with mixed composition stones,accounting for 51.7％.Main chemical composition of the stones were:calcium oxalate 48.3％,carbonate apatite 34.8％,urates 5.4％,ammonium magnesium phosphate 4.4％,ammonium carbonate eutectic 3.4％,brushite 1.5％,cystine 2.0％ and protein 0.3％.Male patients accounted for 66.4％ of all cases and the peak onset age was 30-59 years; Female patient accounted for 33.6％ of all cases and the peak onset age was 50-59 years.Conclusions Calcium oxalate and phosphate are the most common components of kidney stones.Males age between 30-59 years and females age between 50-59 years may suffer from of kidney stone formation.